Majestic Care Of Lafayette

Based on interview and record review, the facility failed to ensure staff notified the Social Service Director and the resident's physician immediately after the resident expressed suicidal thoughts for 1 of 1 resident reviewed for notification. (Resident 81) Finding includes: During an interview, on 10/21/24 at 10:06 a.m., Resident 81 indicated she told a nurse, on 10/19/24, she felt like killing herself and wanted to get help. She had increased feelings of depression and anxiety and was very upset nothing was done. The clinical record for Resident 81 was reviewed on 10/12/22 at 11:25 a.m. The diagnoses included, but were not limited to, major depressive disorder and general anxiety. A physician's order, dated 5/18/24, indicated to give 60 milligrams (mg) of duloxetine delayed release for depression daily. A physician's order, dated 10/2/24, indicated to give 10 mg of buspirone for anxiety three times a day. A care plan, dated 7/23/24, indicated the resident was on a psychotropic medication. Interventions included, but were not limited to, monitor for side effects of antidepressant…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to administer the correct amount of oxygen as ordered by the physician for 1 of 1 resident reviewed for respiratory care. (Resident 5) Finding includes: During an observation, on 10/16/24 at 11:15 a.m., Resident 5's oxygen concentrator (a device used to provide supplemental oxygen therapy) was set on 2 liters per minute (L). During an observation, on 10/17/24 at 9:57 a.m., Resident 5's oxygen concentrator was set on 2.5L. During an observation, on 10/18/24 at 11:31 a.m., Resident 5's oxygen concentrator was set on 2L. The clinical record for Resident 5 was reviewed on 10/17/24 at 3:30 p.m. The diagnoses included, but were not limited to, end stage renal disease, chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, chronic kidney disease, interstitial pulmonary disease, chronic pulmonary edema, personal history of malignant neoplasm of other sites of lip, oral cavity and pharynx, gastrostomy status, and dependence on renal dialysis. A care plan, dated 7/12/23, indicated the resident was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure staff accurately documented on the narcotic count sheets, documented medication administration in the Medication Administration Record, and properly documented the disposal of medication for 1 of 2 residents reviewed for pain management. (Resident E) Findings include: The clinical record for Resident E was reviewed on 10/16/24 at 11:46 a.m. The diagnosis included, but were not limited to, chronic pain syndrome and non-pressure chronic ulcer of foot. a. The following entries were documented in the month of August on a narcotic medication count sheet for Oxycodone (a narcotic medication to treat pain) 5 milligrams: 1. An entry, dated 8/3/24 at 5:00 a.m., indicated one Oxycodone was administered. This administration was not documented in the Medication Administration Record (MAR). 2. An entry, dated 8/3/24 at 6:20 p.m., indicated one Oxycodone was administered. This administration was not documented in the MAR. 3. An entry, dated 8/3/24 at 3:15 p.m., indicated one Oxycodone was administered. This administration was not…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure a resident was assisted and received dental services for 1 of 1 resident reviewed for dental services. (Resident 8) Finding includes: During an observation, on 10/16/24 at 11:27 a.m., Resident 8 had missing teeth. During an interview, on 10/16/24 at 11:27 a.m., Resident 8 indicated she wanted new dentures. She previously lost a large amount of weight, and her old dentures no longer fit. She indicated she would like to get new ones, but staff had not helped her to find a provider in her insurance network when she asked for assistance. The clinical record for Resident 8 was reviewed on 10/16/24 at 3:02 p.m. The diagnoses included, but were not limited to, type 2 diabetes mellitus, peripheral vascular disease, chronic diastolic heart failure, post-traumatic stress disorder, hyperlipidemia, and age-related physical debility. A physician's order, dated 9/19/22, indicated Resident 8 may be seen by a podiatrist, dentist, optometrist, audiologist, psychiatrist, and psychologist. A care plan, dated 9/11/22,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, the facility failed to ensure food was served at a safe and appetizing temperature for 1 of 1 room tray tested for temperatures. (100 hall) Findings include: During an interview, on 10/16/24 at 10:54 a.m., Resident E indicated the food was usually cold, especially for room trays. During an interview, on 10/16/24 at 2:53 p.m., Resident 48 indicated the food was cold a lot. During a resident council meeting, on 10/18/24 at 2:35 p.m., the resident council indicated the food was cold, even when eating in the dining room. During an observation and interview, on 10/16/24 at 12:40 p.m., a lunch tray was chosen to get food temperatures. The ravioli temped at 116 degrees. The dietary manager indicated hot foods should be served at least 120 degrees or above. A facility policy, titled Food: Quality and Palatability, last revised on 2/2023 and received from the Director of Nursing on 10/16/24 at 3:30 p.m., indicated .Food will be prepared by methods that conserve nutritive value, flavor and appearance. Food will be palatable, attractive and served at a safe…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to document mood and behaviors in the Electric Health Records (EHR) for 1 of 1 resident with suicidal thoughts. (Residents 81) Finding includes: During an interview, on 10/21/24 at 10:06 a.m., Resident 81 indicated she told a nurse, on 10/19/24, she felt like killing herself and wanted to get help. The resident was very upset. The clinical record for Resident 81 was reviewed on 10/12/24 at 11:25 a.m. The diagnoses included, but were not limited to, major depressive disorder and general anxiety. A physician's order, dated 5/18/24, indicated to give 60 milligrams (mg) of duloxetine delayed release for depression daily. A physician's order, dated 10/2/24, indicated to give 10 mg of buspirone for anxiety three times a day. There was nothing documented in the EHR about the thoughts and feeling Resident 81 was having. During an interview, on 10/21/24 at 11:21 a.m., the Director of Nursing (DON) indicated the staff should document the resident's mood and behavior in the medical records and nothing was charted. A current policy,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure staff transported soiled linen down the hall correctly and staff wore PPE (personal protective equipment) into an isolation room for 3 of 3 randomly observed staff. (CNA 12, 13 and 14) Findings include 1. During an observation, on 10/18/24 at 11:45 a.m., Certified Nursing Assistant (CNA) 12 was observed dragging a large clear trash bag of dirty linen down the 100 hall and placed the bag into the soiled utility room. During an interview, on 10/18/24 at 11:48 a.m., CNA 12 indicated she should not drag dirty linen down the hall. During an interview, on 10/18/24 at 11:49 a.m., the Director of Nursing (DON) indicated the CNA was not supposed to drag dirty linen down the hall. 2. During an observation, on 10/18/24 at 11:52 a.m., Resident G was in Enhanced Barrier Precautions (EBP). CNA 13 and CNA 14 was in the resident's room transferring the resident from her wheelchair to the bed. The CNAs were not wearing PPE when touching the resident, wheelchair, and bed. Licensed Practical Nurse (LPN) 6 entered the room…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure Covid-19 vaccines were provided when requested for 3 of 7 residents reviewed for immunizations. (Resident 65, 83 and 84) Findings include: 1. The clinical record for Resident 65 was reviewed on 10/21/24 at 9:56 a.m. The diagnoses included, but were not limited to, recurrent moderate major depressive disorder, vitamin D deficiency, vitamin B12 deficiency anemia, prolonged grief disorder, generalized anxiety disorder, essential primary hypertension, and age-related physical debility. An informed consent form for the Covid-19 vaccine, dated 1/13/23, indicated the resident consented to receiving the vaccination. An informed consent form for the Covid-19 vaccine, dated 11/20/23, indicated the resident consented to receiving the vaccination. The electronic medical record did not include any record of a Covid-19 vaccination after the signed consent form in January or November 2023. During an interview, on 10/22/24 at 10:11 a.m., the Director of Nursing (DON) indicated the immunization should have been provided soon after…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure incontinence products and personal items were stored appropriately, light bulbs were in working use, and trash was not on the ground for 5 of 70 rooms reviewed for environment (Rooms 112, 123, 134, 138, and 233). Findings include: 1. During an observation, on 10/16/24 at 11:07 a.m., room [ROOM NUMBER] had incontinence products, and an opened package of briefs stored on the bed next to the resident. 2. During an observation, on 10/16/24 at 10:29 a.m., room [ROOM NUMBER] had a foul smell and the light above the bed had 2 light bulbs not working. 3. During an observation, on 10/16/24 at 10:49 a.m., room [ROOM NUMBER] had paint on the floor, clothes not hung up, the closet was a mess, and items were on the floor. 4. During an observation, on 10/16/24 at 10:46 a.m., room [ROOM NUMBER] had briefs stored on the ground in the bathroom, a toothbrush and a hairbrush with other supplies were stored in a wire basket on the back of the toilet. 5. During an…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure residents were provided Activities of Daily Living (ADL) care for 4 of 4 residents reviewed for ADLs. (Residents J, K, L, and M) Finding include: 1. An Indiana Department of Health (IDOH) reportable, dated 8/17/2023, indicated Resident J did not receive personal care when she needed to be changed on 8/16/2023. Resident B needed personal care when her ostomy bag leaked in her bed. She indicated CNA 2 did not provide her with care. CNA was terminated when the allegation was substantiated. The record for Resident J was reviewed on 9/12/2023 at 2:15 p.m. Diagnoses included, but were not limited to, hypertension, type 2 diabetes mellitus, bipolar disorder, and hemiplegia. The resident had a Brief Interview for Mental Status (BIMS) of 14. This score indicated the resident was not cognitively impaired. During an interview, on 9/12/2023 at 3:50 p.m., Resident J indicated her ostomy bag had leaked in her bed and she called for assistance. CNA 2 came to assist her. CNA 2 she did not clean her bed or change her linen. She…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to provide continuous oxygen flow for 2 of 2 residents reviewed for continuous oxygen per physician's orders at 2 liters. (Residents B and D) Findings include: 1. The record for Resident B was reviewed on 9/11/2023 at 4:05 p.m. Diagnoses included, but were not limited to, acute kidney failure, anemia, end stage renal disease, and hyperkalemia. The resident had a Brief Interview for Mental Status (BIMS) of 14. This score indicated the resident was not cognitively impaired. Nursing notes indicated Resident B had a physician's order, dated 8/16/2023, for oxygen at 2 liters per minute via nasal cannula continuous, may titrate as needed. During an interview, on 9/11/2023 at 4:01 p.m., Resident B was observed to have oxygen at 2 liters with continuous flow per nasal cannula while she was in bed in her room. She indicated she did not get continuous oxygen when she went to the dialysis center for her treatment. When she left her room, her oxygen was disconnected and then she was reconnected to oxygen when it was her turn…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure resident council grievances had a response for 7 of 7 months reviewed for resident council grievances. (January 2023 through July 2023) Findings include: The resident council meeting minutes were reviewed, on 8/14/23 at 1:00 p.m., for the months of January 2023 through July 2023. The resident council meeting minutes, dated January 2023, indicated there were concerns the call lights and medication pass took too long, showers were not consistent, food portions were still too small, the kitchen did not follow the menus, the rooms needed cleaned, soap and toilet paper needed refilled, clothes were lost, and rooms needed to be mopped. There were no documented responses. The resident council meeting minutes, dated February 2023, indicated there were concerns the call light responses were too long, CNAs had bad attitudes especially at night (overnight), showers were missed and residents were not asked about showers, small portions were served, meals…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

3. During an observation and interview, on 8/09/23 at 1:58 p.m., Resident 63 was sitting in her room with the door shut. The resident indicated she enjoyed activities but the staff quit and now she stayed in her room except to go to dialysis. The resident was not reminded of the activities, and needed someone to take her. The CNAs told her they were too busy. The record for Resident 63 was reviewed on 8/14/23 at 11:53 p.m. Diagnoses included, but were not limited to, congestive heart failure, chronic pulmonary edema, dependent on renal dialysis, hypertension, cardiac pacemaker, and macular degeneration. A care plan, dated as revised on 8/9/23, indicated the resident was to be involved in group activities. The goal included to provide assistance or escort to activity functions, provide verbal reminders of time and place of activity. The Activity Participation Follow Up Question Report, for 7/1/23 to 8/15/23, indicated activities did not occur from 8/8/23 to 8/15/23. The resident had 8 days of no documented activities. During an interview, on 8/10/23 at 2:40 p.m., the DON indicated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure there was enough staff to address concerns identified by the resident council group for 7 of 7 resident council meetings reviewed, to provide incontinence care as identified by grievance concerns for 5 of 5 grievances reviewed, and to provide toileting needs for 2 of 2 residents reviewed for bowel and bladder. (Resident C and E) Findings include: 1. There were no documented responses to concerns from January 2023 to July 2023 from the resident council group meetings. During the resident council meetings, from January 2023 through July 2023, the resident council indicated there were concerns about call lights taking a long time, medication pass taking too long, showers not consistently done, the rooms needed cleaned and soap and toilet paper needed refilled. No follow up was done for their concerns. During the resident council interview, on 8/16/23 at 2:00 p.m., the resident council group indicated there was a lack of communication with residents and staff. The residents did not feel they could communicate with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure incontinence care was provided and the residents were free from negative comments by staff for 2 of 2 residents reviewed for dignity. (Resident C and F) Findings include: 1. During an interview, on 8/10/23 at 2:44 p.m., Resident C indicated during the second shift she had her call light on. Certified Nursing Assistant (CNA) 3 came to the door and told the resident she was just changed about 10 minutes ago, and she would come back in 2 hours and change her. The resident told CNA 3 she had a bowel movement and told her she needed to be changed. CNA 3 walked in the room, turned the call light off, and told the resident she only had to change her every two hours and left the room. The record for Resident C was reviewed on 8/14/23 at 3:45 p.m. Diagnoses included, but were not limited to, clostridium difficile colitis (inflammation of the colon caused by bacteria which causes diarrhea), diabetes mellitus, and fracture of the upper end of the left humerus (the largest bone of the upper arm). A physician's order, dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to fully investigate an allegation of abuse for 2 of 5 residents reviewed for abuse. (Resident C and F) Finding includes: 1. During an interview, on 8/10/23 at 2:44 p.m., Resident C indicated during second shift (2-10 p.m.) her call light was on. CNA 3 came to the door and told the resident she was changed about 10 minutes ago, and she would come back in 2 hours and change her. The resident told CNA 3 she had a bowel movement and she needed to be changed. CNA 3 walked in the room, turned the call light off, and told the resident she only had to change her every two hours then CNA 3 left the room. The record for Resident C was reviewed on 8/14/23 at 3:45 p.m. Diagnoses included, but were not limited to, clostridium difficile colitis (inflammation of the colon caused by bacteria which causes diarrhea), diabetes mellitus, and fracture of the upper end of the left humerus (the largest bone of the upper arm). A Facility Incident Report indicated, on 8/9/23, Resident C indicated a staff member entered the room to answer her call…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure a resident's care was coordinated with Hospice staff for obtaining a positioning chair and to document follow-up for a resident with left arm swelling for 2 of 2 residents reviewed for Hospice. (Resident 5 and 15) Findings include: 1. During an observation, on 8/10/23 at 10:36 a.m., Resident 5 had left arm swelling on the side where her dialysis fistula was located. The resident's right arm was much smaller than the left arm. The record for Resident 5 was reviewed on 8/15/23 at 3:47 p.m. Diagnoses included, but were not limited to, end stage renal disease, dependence on renal dialysis, chronic respiratory failure, and chronic congestive heart failure. A physician's order, dated 7/6/23, indicated the resident had a dialysis fistula located in the left arm and to check the fistula every shift for thrill (feeling the motion of blood with the fingers) and bruit (a whooshing sound), swelling, pain, change in temperature, and/or bleeding. A progress note, dated 8/11/23 at 1:44 p.m., indicated the resident was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

2. The record for Resident 57 was reviewed on 08/11/23 at 9:20 a.m. Diagnoses included, but were not limited to, cerebral palsy, and left-hand contracture. A physician order, dated 7/7/23, indicated a palm protector was to be in the left hand donned upon bed and doffed upon rising. An electronic Medication Administration Record (MAR), dated July 2023, indicated there was no documentation by the staff for the placement or removal of the palm protector. An electronic MAR, dated August 2023, indicated there was no documentation by the staff for the placement or removal of the palm protector. During an interview, on 08/15/23 at 3: 39 p.m., Nurse 5 indicated she had not seen a palm protector for the resident. A current policy, titled Use of Assistive Devices, not dated and received from the Director of Nursing on 8/15/23 at 4:18 p.m., indicated .the use of devices would be based on the resident's comprehensive assessment, in accordance with the resident's plan of care .the facility will provide assistive devices for resident's who need them .nursing, dietary, social services, and therapy…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review and interview, the facility failed to ensure a resident's oxygen was set at the physician ordered liters per minute (LPM) and the oxygen tanks were stored safely for 1 of 1 resident reviewed for oxygen. (Resident 15) Finding includes: During an observation, on 8/9/23 at 1:34 p.m., Resident 15's oxygen (02) was set at 4 LPM. The resident indicated the 02 should be at 3 LPM. During an observation and interview, on 8/9/23 at 1:47 p.m., the resident's 02 was still at 4 LPM and RN 6 indicated the resident's oxygen was supposed to be set at 3 LPM. The record for Resident 15 was reviewed on 8/11/23 at 11:23 a.m. Diagnoses included, but were not limited to, acute and chronic respiratory failure with hypoxia (low 02 content in the blood), chronic respiratory failure with hypercapnia (excessive carbon dioxide in the bloodstream), congestive heart failure, and anxiety disorder. A physician's order, dated 7/19/23, indicated 02 at 3 LPM by nasal cannula. A care plan, dated 12/15/21 and last revised on 4/24/23, indicated the resident was at risk for respiratory…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure a resident received routine oral care and follow up dental visits for 1 of 1 resident reviewed for dental services. (Resident 14) Finding includes: During an observation, on 8/9/23 at 1:10 p.m., Resident 14 had very blackened bottom teeth, missing teeth and partial tooth pieces. There was a very foul odor noted when the resident was smiling and attempting to speak. During an interview, on 8/10/23 at 4:42 p.m., the resident's family member indicated the facility did not help the resident with her teeth and did not even give her a toothbrush at bedtime. The resident's teeth were really bad and she needed dental work. The place the facility sent her to could not do anything. The record for Resident 14 was reviewed on 8/11/23 at 3:02 p.m. Diagnoses included, but were not limited to, hemiplegia (paralysis) and hemiparesis (weakness) following unspecified cerebrovascular disease affecting the right dominant side, chronic obstructive pulmonary disease, type 2 diabetes mellitus, and vascular dementia. A…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure rooms were free from urine odors, free from dirty clothes on the floor and bedside tables, free from cardboard boxes on the floor and stacked on a plastic bin, personal belongings scattered in rooms, dirty clothes and a pillow on the floor for 6 of 6 rooms and failed to ensure flooring was replaced for 1 of 2 units reviewed for environment. (Rooms 105, 106, 108A, 110B, 112, 214, and the Cedarwood Unit) Findings include: During room observations, starting on 08/10/23 at 10:41 a.m., the following were observed: a. room [ROOM NUMBER] had a slight urine odor. b. room [ROOM NUMBER] had clothes all over the floor and the side of room, bed sheets were rolled up and a food tray was still sitting on the bedside table. c. room [ROOM NUMBER]A had a lot of clutter in the room, items were on the floor and chairs. The clothing and other personal belongings were unorganized. Two large cardboard boxes were stacked on top of each other, and another large cardboard…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.